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Nursing physical examination in surgical nursing care.
SRBOVÁ, Klára
Current Status: The physical examination is an essential component of patient assessment, contributing to accurate diagnosis. It encompasses techniques such as inspection, palpation, percussion, auscultation, and digital rectal examination. Thesis Objectives: This study aims to delineate nursing actions in conducting physical examinations and highlight disparities in performing these assessments within surgical nursing settings. Methodology: A qualitative research method was employed, utilizing semi-structured interviews. The interview cohort comprised 8 nurses working in various surgical wards. Furthermore, a quantitative survey, comprising open, semi-open, or closed questions, was selected and included 169 respondents practicing across diverse surgical units. Data collection was conducted online, and participant selection was guided by data saturation. Thesis Findings: Interviews underscored nurses' adeptness in conducting physical examinations and their awareness of nuances that vary across departments. Most respondents (42.6%) hailed from traditional surgical units. A significant portion held a bachelor's degree (45.6%), and the prevalent experience range within surgical wards was 0-10 years (56.8%). Notably, 73.4% of patient admissions involved collaborative data collection between nurses and physicians. During physical examinations, 85.2% of nurses helped, and 97.6% performed assessments within their respective units. Inspection, olfaction, and assessment of consciousness consistently fell under nursing purview. Palpation and auscultation were infrequently conducted by nurses, with digital rectal examinations being exceedingly rare. Physical examination by a nurse varies from one surgical department to another. A relationship between the palpation and consciousness examination and the surgical ward in which she works has been demonstrated. Physical examination by a nurse varies with length of experience. There was a relationship between palpation examination and length of experience in the surgical department. Physical examination varies with the age of nurses. A relationship between percusion and consciousness examinationand and the age of the nurse has been demonstrated. Conclusion: In summary, nursing-conducted physical examinations is performed by the nurse within the scope of her competence and align with departmental needs and resources, reflecting the specific care context. The findings emphasize the collaborative nature of patient assessment and shed light on areas where nursing participation may be enhanced.
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The role of nurse in care of hospitalized suicidal patient.
SRBOVÁ, Klára
Current situation: Suicide is one of the main problems in the public health field. This thesis focuses on the role of a nurse in the care of suicidal patients. The theoretical framework concentrates on the origination of this particular situation, the risk factors, how to prevent suicidal behaviors, how the nurse manages this conduct and monitors the state of the patient, how to create a safe environment and how to intervene in a crisis situation. Objectives of the thesis: First, to study the different responsibilities of the nurse in the duty of care of suicidal inpatients in the psychiatric wing under maximum safety. Second, to explore the diverse security restrictions used during the treatment of this type of patients. Methodology: The research is based on a survey of eighteen questions in which all the participants had the opportunity to answer to open questions. These eighteen questions are also divided into eight categories and, at the same time, these eight are classified into different subcategories. Analysis of the collected data was processed using the pencil-paper method, the so called coding. Research group: Thirteen nurses selected from the psychiatric wing under maximum safety. Results of the thesis: From this investigation could be assumed that the role of a nurse in the care of suicidal patients is a crucial factor. The medical treatment is not enough, but it is important to include the family circle. The conditions are not always optimum. Recommendations include focusing on the development of education and awareness, also medical management so that nurses can devote time to the patient with these problems, and a technical equipment such as a surveillance system, which is not always available for every medical center. Practical use: The present final thesis could be used as a case of study for nurses and nursing students. The results could be published in scientific magazines and conferences.
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